OMERO GUERRERO (DPT) – Physical Therapist, NPI 1376376624

OMERO GUERRERO (DPT) is a healthcare provider. based in Puyallup, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61588407 (WA). The NPI Number for OMERO GUERRERO (DPT) is 1376376624

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
OMERO GUERRERO (DPT)
NPI
1376376624
Phone
Not provided
Address
407 VALLEY AVE NE APT C207
Enumeration Date
22 August 2024
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537505997
Graduation Year
2024 (2 years ago)
PAC ID
3971036310
Group Practice PAC ID
2668540337
Professional Enrollment ID
I20241024000649
Address ID
WA983917901BO19910EXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for OMERO GUERRERO (DPT)

  • 407 VALLEY AVE NE APT C207

    PUYALLUP, WA 983722538

    Phone:

    Type: Mailing

  • 19910 S PRAIRIE RD E

    BONNEY LAKE, WA 983917901

    Phone: (253) 750-5997

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241024000649IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98372)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668540337View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What number should I use to identify OMERO GUERRERO (DPT) for billing?
Administrative and clinical systems typically use NPI 1376376624 for OMERO GUERRERO (DPT).
Is OMERO GUERRERO (DPT)'s NPI status active today?
Active status means OMERO GUERRERO (DPT)'s NPI record is not deactivated in the public file.
How should patients interpret OMERO GUERRERO (DPT)'s specialty?
The extract shows Physical Therapist for OMERO GUERRERO (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to OMERO GUERRERO (DPT)?
OMERO GUERRERO (DPT) is associated with Puyallup, Washington in the same public data insurers reference.
Why is information missing for OMERO GUERRERO (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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